On Demand: Navigating the New CPT Structure for Lower Extremity Revascularization-Presentation Slides

Presentation Slides

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The document is a detailed instructional presentation by MedAxiom on the updated 2026 CPT coding changes for lower extremity revascularization (LER) procedures. It covers new coding structures and guidelines for diagnostic angiography and interventional treatments of lower extremity arterial disease. Key topics include:

1. <strong>Lower Extremity Angiography and Catheterization:</strong> Explanation of vascular families and catheter placement codes, emphasizing coding selective over non-selective angiography and separation per vascular territory (iliac, femoral/popliteal, tibial/peroneal, inframalleolar). Rules for coding multiple catheter placements and additional vessel imaging are clarified.

2. <strong>2026 CPT Coding Updates for Interventions:</strong> The document details the new hierarchy and codes for angioplasty, stenting, atherectomy, and lithotripsy according to vascular territories. Each territory has distinct codes for initial and additional vessels treated and for straightforward versus complex lesions. Lesions crossing into adjacent vessels require single coding for the more distal vessel.

3. <strong>Coding Guidelines and Documentation:</strong> Emphasizes the need for precise lesion documentation (stenosis vs occlusion), medical necessity for additional imaging, and when catheterization codes can be billed. It discusses bilateral procedures coding and use of modifiers.

4. <strong>Additional Billable Services:</strong> Guides on ultrasound guidance for arterial access, intravascular ultrasound (IVUS), thrombectomy, embolization, thrombolysis, and moderate sedation codes, including necessary documentation standards.

5. <strong>Case Studies:</strong> Six comprehensive cases illustrate proper application of 2026 CPT codes for complex LER procedures, including angiography, atherectomy, stenting, lithotripsy, and associated sedation and imaging services.

6. <strong>Administrative Notes:</strong> Instructions on claiming CEU credits, best practices for listserv communication, and disclaimers explaining that coding guidance is for education, not reimbursement assurance.

Overall, this presentation equips coding professionals and clinicians with up-to-date CPT coding protocols needed for accurate documentation and billing of lower extremity revascularization procedures effective January 1, 2026.

Keywords

2026 CPT coding

lower extremity revascularization

LER procedures

angiography coding

vascular territories

angioplasty codes

stenting coding

atherectomy guidelines

lithotripsy coding

medical necessity documentation